• Journal of the KSME
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• v.35 no.7
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• pp.576-583
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• 1995

최근들어 우리나라의 대일무역적자폭이 확대되면서 이에 대한 대책마련이 시급한 과제로 대두 되고 있다. 1986년에 54억 달러의 적자를 나타낸 대일무역수지는 '87, '88년기간중에 적자폭이 개선되는 기미을 보이다가 '89년부터 다시 증가세로 반전하여 '94년에는 119억 달러의 기록적인 규모의 적자를 나타내었다. 이와 같은 대일무역역조는 우이 상품의 가격 ? 비가격경쟁력의 약 화에 따른 수출증가세의 둔화와 대일수입 유발형 산업구조에서 나타나는 지속적인 수입증가 때 문이며, 여기에 '90년대 이후 내수증가로 인해 새로운 수입수요가 창출되었기 때문으로 보인다. 이 글에서는 우리나라의 대일 무역역조의 현황과 구조분석을 통해 근본적인 해결책을 모색해 보고자 한다.

• The Korean Journal of Emergency Medical Services
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• v.23 no.3
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• pp.123-134
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• 2019

Purpose: This study aimed to analyze the number of patients with and without medical history transported to the emergency department due to changes in daily temperature and season. Methods: Data on emergency activity sheet and daily weather were collected from March 2016 to February 2017 in the city of Gyeonggi-do. In total, 13,531 patients were transferred to the emergency department in 119 ambulance. Data were analyzed using the Statistical Package for the Social Sciences (version 21). Results: The daily average number of patients transferred was the highest in August and September, i.e., the summer season. The higher the daily highest and lowest temperatures, higher the daily average number of patients transferred. In contrast, patients with medical history of hypertension, diabetes, heart disease, cerebrovascular disease, and pulmonary disease had a higher incidence of transfers in the winter season and on days with lower temperature. Conclusion: The results indicate that as people become more active during the summer when temperatures are high, the chances of daily emergencies increases, whereas patients with medical history are more likely to experience emergencies when the temperatures were lower. Hence, 119 ambulances will have to be prepared in advance to deal with this trend.

• The Korean Journal of Emergency Medical Services
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• v.22 no.1
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• pp.35-47
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• 2018

Purpose: The purpose of this study was to investigate both the occurrence status of emergency vehicles traffic accidents and contents of the experiences of emergency medical technicians (EMTs) in fire station. Methods: A self-reported questionnaire was completed by 451 EMTs in fire stations in 6 cities provinces from February 9, 2017 to February 27, 2017. Results: Of 451 EMTs, 207 (45.9%) had traffic accidents experience. Regarding environment-related features, results indicated hour (12~18 hours), place (national highway), traffic flow (smooth), weather (clear), season (winter), and day (Friday). Regarding correlation analysis of differences in the number of ambulance traffic accidents pursuant to general features of accident-experienced drivers as a human factor, there were no significant differences in recruitment, driving careers of regular cars, driving careers of fire engines, and class but there were significant differences in fire-fighting careers. Accident experience in the group with careers over 6 years and less than 10 years higher than in the other groups. Conclusion: Efforts to expand fire engine driving education programs for the prevention of traffic accidents involving 119 emergency vehicles are required.

• The Korean Society of Law and Medicine
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• v.24 no.3
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• pp.105-124
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• 2023

Modern society is facing an unstable environment due to unexpected accidents and hazardous situations. For example, incidents such as the collapse of the Bundang Bridge and the crushing accident in Itaewon could serve as examples. In addition to these, critical emergencies like sudden cardiac arrests and strokes frequently occur, requiring swift actions and smooth transfers to specialized medical institutions for effective responses. In response to these risks, the country has been establishing various systems to protect the lives and safety of its citizens. Among these, the 119 First Aid Activities plays a crucial role within the emergency medical system. Its goal is to promptly respond to critical emergency situations involving severe trauma patients or patients with serious illnesses, minimizing damage and safeguarding lives by swiftly transferring them to emergency medical institutions for specialized treatment. The core activity related to this is emergency rescue operations. In particular, the 119 First Aid system serves as a crucial institution responsible for the hospital transportation of emergency patients. However, rescue personnel still encounter cases of interference with their activities during their duties. Despite efforts from the police, these interference cases persist, and they share similarities with the crime of obstructing official duties. Interference with emergency activities exhibits a comparable nature to instances such as physical assaults and equipment damage against emergency medical practitioners working within the emergency medical system. Therefore, a comprehensive understanding and improvement efforts regarding the issues of interference that arise during the process of emergency medical activities, including the 119 First Aid system, are necessary. The solution to these problems is to establish and improve the conditions for obstruction of first aid activities, focusing on the "Framework Act on Firefighting" and the "Act on 119 Rescue and Emergency."

• The Korean Journal of Emergency Medical Services
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• v.25 no.3
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• pp.189-200
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• 2021

Purpose: We aimed to provide effective emergency medical services (EMS) response strategies for coping with high acuity patients during the pandemic by analyzing the influence of the COVID-19 and social distancing on EMS. Methods: In this retrospective observational study, we analyzed the distribution of high acuity patients transported by Daejeon 1-1-9 EMS during the COVID-19 pandemic period, between February 1, 2020 and October 31, 2020 and the same period in 2019, as well as the level 3 social distancing enforced period, between July 27, 2020 and October 31, 2020. Results: The EMS dispatches decreased by 17% during the observed COVID-19 pandemic period compared to the same period in 2019. The number of cases with cardiac arrest and positive prehospital stroke scale rose by (p<.001). Patients with cardiac arrest, trauma, and positive prehospital stroke scale increased by during the level 3 social distancing period. Conclusion: Unlike the decreased EMS call volume and patient transports during the COVID-19 pandemic, cardiac arrest cases and the severity of high acuity patients tended to increase. We suggest that EMS systems should contrive a response strategy considering the collateral effect of major epidemics on the incidence rate of high acuity patients.

• Journal of the Korea Convergence Society
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• v.10 no.5
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• pp.111-117
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• 2019

The purpose of this study was a convergence study to find a way to shorten pre-hospital emergency medical response time in vehicle accident. This study analyzed the factors of hospital emergency response time by utilizing weather, road type, accident type, and rescue response to 353 vehicle passengers who visited the three emergency medical centers from January 1, 2011 to July 30, 2016 in Korea In-Depth Accident Study. The results of the study showed that the highway used the most time to prehospital emergency medical response time and was a factor affecting the overall time (${\beta}=.543$, p<.001). In order to shorten the emergency medical response time in highway, the operation of emergency services on the highway, the active use of emergency turn road and the automatic emergency rescue service with individual devices were proposed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.4
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• pp.1709-1717
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• 2013

This study was to identify the frequency and related factors of advanced airway management for patients with cardiac arrest by the Level 1 emergency medical technicians in the 119 Emergency medical service. 95 level-1 medical technicians belonging to Gwangju Fire Service Headquarter were surveyed with structured questionnaire composed of general and job-related characteristics, self-efficacy, barrier factors to performing the advanced airway for patients with cardiac arrest. From January 1, 2010 to June 30, 2011, data obtained from the Gwangju Fire Service Headquarter by performance of advanced airway. Self-efficacy toward the necessity of advanced airway revealed positive correlation with self-confidence. The barrier factor to advanced airway performance had negative correlation with the frequency of performance. The most important factor of advanced airway performance was necessity and self-efficacy. In conclusion, it is necessary to develop the field-based practice education program and to improve self-efficacy.

• Fire Science and Engineering
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• v.19 no.2 s.58
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• pp.81-92
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• 2005

It is natural that The government should be responsibility for the fulfillment of obligation to prevent a notional life, accurate rescue and first-aid from various calamities. Although, The government policy is established a foundation that is reventing a national life and a property from the calamity with deciding of the fire line, that is not satisfied with taking precautions against a calamity. In case of the calamity there is always pointed the confrontation procedures, especially, In case of crisis The government is lacking to come to an developed country on account of system of the emergency rescue and first-aid. The prevention and provision are the most important thing with reference to a confrontation of the calamity. But calamity is happened without warning, so We should establish line of prompt rescue and first-aid lately that is very important thing. The First, We should get the single line of the rescue and first-aid through a integration and elimination in terms of a law of the emergency rescue and first-aid, but also we strengthen a line of a scene confrontation ability and speciality. To raise awareness of improving a rescue and ability of first-aid, through reinforcing the human and material equipment of The 119 rescue party to charge of emergency rescue and first-aid in effect.

• Journal of the Korea institute for structural maintenance and inspection
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• v.23 no.3
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• pp.119-126
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• 2019

In case of RC(Reinforced Concrete) structures which are constructed in coastal areas, chloride ions in sea water corrode the steel rebar in concrete. Especially in coastal areas, RC structures are affected by not only immersion of sea water, but also tidal of sea water and airborne chloride ions. In this study, marine environment exposure tests are conducted, considering 3 types of exposure environments(immersion zone, tidal zone, splash zone) and the exposure periods of 180 days, 365 days, and 730 days. Also, the concrete mixtures for this study are established, considering 3 levels of W/B(Water to Binder) ratio(0.37, 0.42, 0.47) and 2 levels of substitution rate of Fly ash(0 %, 30 %). In all exposure environments, Fly ash concrete has lower apparent chloride diffusion coefficients than OPC concrete. It is thought that fly ash's pozzolan reaction improves chloride resistance of concrete. Fly ash concrete has up to 63.5 % of decreasing rate in 180 days of exposure and up to 55.8 % of decreasing rate in 730 days of exposure, based on diffusion coefficients of OPC concrete. As a result of evaluation about effects of exposure environments, apparent chloride diffusion coefficients of fly ash concrete are evaluated in order of tidal zone, immersion zone, and splash zone. In tidal zone, It is thought that repeated cycles of wetting and drying of sea water cause the diffusion of chloride ions rapidly.

• The Korean Journal of Emergency Medical Services
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• v.11 no.3
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• pp.119-128
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• 2007

It is happening a lot that the pediatric patients who are offering help in emergency room with background 119 rescuer require emergency care compared to adults. Our study was conducted to have a clear grasp of the status quo of pediatric patients who are offering help in emergency room with 119 rescuer. METHOD & OBJECT pediatric patients under 8 age who were offering help was conducted as objects by 119 cases from January, 2006 to January 2007, with 119 rescuer at C university hospital in Gwangju metropolitan city, which were 87 cases for a boy(73.1%), 32 cases for a girl. Based on emergency diary of emergency members and the medical treatment record of emergency room in C university hospital, a disease and a type of an external wound were analyzed according to ages of these patients, a time zone and season. RESULT In terms of an age, 25 cases(21.0%) have less than 1 age extremelymuch, in case of emergency, 61 cases(51.3%), which were more than non-emergency, in terms of happened places of patients, there were households up to 78 cases(65.5%) extremely much. In terms of happened time, 13:00 to 18:00 have highest data up to 48 cases(40.3%). According to season, there were no big differences in 4 seasons(spring : 30.3%, summer : 24.4%, fall : 29.4%, winter : 16.0%). In case of being offered help at emergency room due to diseases, 1-2 ages have highest estimate with 55.7%, in terms of a time zone, 19:00-24:00 have highest with 33.7%, in terms of season, summer(6, 7, 8) have highest with 32.8%. in case of traffic accident, 7-8 age have highest with 47.1%, according to a time zone, 13:00 to 18:00 have highest with 88.2%, according to season, fall have highest with 64.7%. In case of an external wound, 3-4 age have highest with 38.2%, according to a time zone, 13:00-18:00 have highest with 41.2%, according to season, spring have highest with 38.2%. CONCLUSION It shows that in case of pediatric patients who were offering help at emergency room with 119 rescuer, a pediatric under 1 age was due to a disease, in case of an external wound, there were 3-4 age, in case of traffic accident, 7-8 age have highest, a case for emergency have highest.